Individual
HEATHER L HEIDBREDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
733 KATHY LN, JEFFERSON CITY, MO 65109-9360
(573) 645-8864
Mailing address
733 KATHY LN, JEFFERSON CITY, MO 65109-9360
(573) 645-8864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2009016791
MO
Other
Enumeration date
10/13/2010
Last updated
02/23/2012
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